Individual
DR. JOHN HURST BABSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., MD
Contact information
Practice address
1331 PRAIRIE AVE, SUITE 1, CHEYENNE, WY 82009-4867
(307) 632-0728
(307) 632-5268
Mailing address
7215 TUMBLEWEED DR, CHEYENNE, WY 82009-1014
(307) 635-1468
(307) 632-5268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WY00359
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010064443
RAILROAD MEDICARE
—
05
—
115910100
—
WY
01
—
558596951001
WORKERS COMPENSATION
WY
Enumeration date
05/03/2006
Last updated
01/19/2010
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